Glucocorticoids are potent anti-inflammatory agents widely used in the treatment of human disease. We have previously shown that the inflammatory cytokine monocyte chemoattractant protein 1 (MCP-1) is regulated posttranscriptionally by glucocorticoids in arterial smooth muscle cells (SMC). To elucidate the mechanism mediating this effect, in vitro-transcribed radiolabeled MCP-1 mRNA was incubated with cytoplasmic extracts from SMC and analyzed by gel electrophoresis. Extracts from SMC treated with platelet-derived growth factor (PDGF) did not degrade the transcripts for up to 3 h. In contrast, extracts from cells treated with 1 M dexamethasone (Dex) alone or in combination with PDGF degraded the probe with a half-life of Ϸ15 min. Dex had maximal effect at concentrations above 0.01 M and was effective on both rat and human MCP-1 transcripts. By deletion analysis, the Dex-sensitive region of the MCP-1 mRNA was localized to the initial 224 nucleotides (nt) at the 5 end and did not involve an AU-rich sequence in the 3 untranslated end. The 224-nt region conferred Dex sensitivity to heterologous mRNA. These studies provide new insights into the molecular mechanisms underlying the effect of glucocorticoids on gene expression.Glucocorticoids are potent anti-inflammatory agents used to treat a wide variety of diseases. While considerable information is available on the cellular events mediating glucocorticoid activity (reviewed in references 4 and 8), the mechanisms involved in their anti-inflammatory effects remain to be fully elucidated. One component of the inflammatory response of particular importance in the arterial wall is the recruitment and adhesion of monocytes/macrophages to sites of inflammation and injury. Macrophages are the primary source of cholesterolrich foam cells seen throughout the atherosclerotic plaque (20,24,28). Macrophages also produce a variety of cytokines and growth factors (15), which may stimulate a proliferative and migratory response at sites of injury. Macrophages are phagocytic and produce metalloproteinases, which degrade extracellular matrix proteins; these may play a role in destabilizing the atherosclerotic plaque or facilitating cellular migration (23,30,42). Finally, macrophages are an important source of tissue factor (32,51,63), the initiator of coagulation, and thus may play an important role in mediating plaque thrombosis.Long-term glucocorticoid treatment has been reported to decrease macrophage accumulation and plaque size during the development of atherosclerosis (38). We have recently shown that dexamethasone (Dex) markedly inhibited the accumulation of macrophages and the development of intimal hyperplasia in the femoral arteries of cholesterol-fed, balloon-injured rabbits (47a). In addition, treatment of rat aortic smooth muscle cells (SMC) with Dex completely blocked the growth factor-mediated accumulation of monocyte chemotactic activity in the culture medium (48).Monocyte chemoattractant protein 1 (MCP-1) is a low-molecular-weight cytokine secreted by endothelial cel...